Nonsurgical recovery of interdental papillae under supportive periodontal therapy.

We observed nonsurgical improvement of interdental papillae in a patient undergoing supportive periodontal therapy. The patient was a 47-year-old Japanese man presenting with widespread gingival recession at Daniele's papilla presence index level 3 and Miller Class I recession affecting the facial aspect of tooth number 42. Initial periodontal therapy for periodontitis was performed, included oral hygiene instruction, scaling and root planing, resulting in a reduction in inflammation. Use of an interdental brush was then suspended to allow the interdental papillae to recover. The type of toothbrush and tooth brushing method were checked repeatedly. Mechanical debridement was performed every 2 to 3 months. A gradual improvement was observed in recession of the interdental papillae over a period of several years together with coronal regrowth of the gingival margin.

Relationship between Eichner Index and number of present teeth.

The aim of this study was to determine the percentage of participants in each of the six Eichner Index groups by number of present teeth (PT). The data were obtained from a periodontal disease examination carried out under a health promotion law in a city located northeast of Tokyo, Japan, in 2005. Data from a total of 1,549 (524 male and 1,025 female) 60-year-old participants were analyzed in this study. Number of occlusal supports was counted by analyzing dental charts. The Eichner Index was used to group the participants into six groups based on distribution of occlusal support teeth. The percentage of patients in Group A with 24 PT was 31.4%; none in Group A had fewer than 19 PT. The percentage in Groups A, B1, and B2 with between 20 and 28 PT was above 50%; the number of participants in these groups with fewer than 20 PT decreased rapidly. Those with fewer than 16 PT were almost found in Groups B3, B4 and C. Only a few patients in Group C had between 10 and 14 PT; those with fewer than 9 PT were only found in Groups B4 or C. Based on these results, the Eichner Index category of a given participant can be estimated from number of PT.

Effects of lactoferrin on the differentiation of pluripotent mesenchymal cells.

Lactoferrin accelerates bone formation, but the precise cellular mechanism behind this is still unclear. We examined the effect of lactoferrin on the differentiation of pluripotent mesenchymal cells using a typical pluripotent mesenchymal cell line, C2C12. Cells were cultured in low-mitogen differentiation medium to induce cell differentiation, with or without the addition of lactoferrin. The cell lineage was determined by alkaline phosphatase (ALPase) activity, mRNA expression of cellular phenotype-specific markers using real-time polymerase chain reaction (PCR), and protein synthesis using Western blotting. The expression of low-density lipoprotein lipase receptor-related proteins (LRPs) 1 and 2, both lactoferrin receptors, was determined by reverse transcription-PCR. ALPase activity increased after the addition of lactoferrin. The mRNA expression of Runx2, osteocalcin, and Sox9 increased markedly as a result of lactoferrin treatment, whereas the expression of MyoD, desmin, and PPARgamma decreased significantly. Western blots showed that lactoferrin stimulation increased Runx2 and Sox9 proteins, whereas it decreased MyoD and PPARgamma synthesis. C2C12 cells expressed the LRP1 lactoferrin receptor. These results indicate that lactoferrin treatment converts the differentiation pathway of C2C12 cells into the osteoblastic and chondroblastic lineage.

Lactoferrin suppress the adipogenic differentiation of MC3T3-G2/PA6 cells.

Lactoferrin accelerates the differentiation of osteogenic and chondrogenic lineage cells, whereas it inhibits the myogenic and adipogenic differentiation of pluripotent mesenchymal cells; however, the effect of lactoferrin on the differentiation of preadipocytes is unknown. In this study, we examined the effect of lactoferrin on adipogenic differentiation using a mouse preadipocyte cell line, MC3T3-G2/PA6. The cells were cultured in differentiation medium with or without lactoferrin to induce cellular differentiation. The cell lineage was then determined by Oil Red O staining, real-time PCR screening for the mRNA expression of phenotype-specific markers, and Western blot analysis. The number of Oil Red O-positive lipid droplets decreased following treatment with lactoferrin, as did the mRNA expression of C/EBPalpha, PPARgamma, aP2, and adiponectin. Furthermore, our Western blot data revealed a decrease in PPARgamma expression attributable to lactoferrin exposure. These results suggest that lactoferrin suppresses the adipogenic differentiation of MC3T3-G2/PA6 cells.

Response of temporomandibular joint intermittent closed lock to different treatment modalities: A multicenter survey.

This study investigated the clinical picture and different treatment methods and results at a number of institutions with the aim of establishing an effective method of treatment for intermittent closed lock (intermittent lock) of the temporomandibular joint (TMJ). The subjects were 104 patients (29 males, 65 females) diagnosed with intermittent lock among 1787 temporomandibular disorder patients. The cases were classified into two types based on the time and occasion when the intermittent lock occurred. The sudden onset type developed in 69.2%, and the habitually occurring type in 29.8%. The most common treatment was disk repositioning exercises alone (in 41 cases) followed by stabilization splints during sleeping. The highest efficacy rate (60.0%) was obtained with the combination of disk repositioning exercise and a repositioning splint followed by a rate of 52.6% with stabilization splints and 41.7% with disk repositioning exercise alone.

A randomized controlled trial of therapeutic exercise for clicking due to disk anterior displacement with reduction in the temporomandibular joint.

Therapeutic exercise is a new concept of treatment for patients with clicking due to anterior disk displacement with reduction (ADDWR). In order to investigate the efficacy of the exercise, we designed a randomized controlled clinical trial to compare with no-treatment controls. The subjects were patients who complained of painless unilateral reciprocal clicking and were diagnosed as having ADDWR by Magnetic Resonance Imaging (MRI). Forty-two patients were randomly assigned. Three months after the randomization, the success rate was 61.9% (13/21 joints) in the exercise group and 0% (0/21 joints) in the control group, with a significant difference between the two groups (p=0.0001). However, captured disks in the successful cases were seen in only 23.1% on MRI examination. In conclusion, the therapeutic exercise for clicking due to ADDWR is significantly effective in reducing the clicking, and thought to be much more conservative and cost-effective than splint therapy or surgery.